MR. TIMOTHY EARL WILEY RDO
NPI 1750596755
Technician/Technologist in San Jose, CA

Active since May 11, 2007
227 N JACKSON AVE, SAN JOSE, CA 95116(408) 729-7115(408) 729-7115 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Timothy Earl Wiley Rdo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY EARL WILEY RDO (NPI 1750596755) is an individual technician/technologist in San Jose, California, licensed in California (D3539) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1750596755
Entity TypeIndividualMale
Primary Taxonomy156F00000X
Provider Legal NameMR. TIMOTHY EARL WILEYCredential: RDO
Location Address227 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address980 S Baywood AveSan Jose, CA 95128-3310 · (408) 985-8265
Fax(408) 729-7115
Sole ProprietorYes
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1750596755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
License Licensed in CA · D3539
Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

227 N JACKSON AVE, San Jose, CA 95116

Other Identifiers 1

Medicaid1713912CA

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
227 N JACKSON AVE
SAN JOSE, CA 95116
Pediatrics
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine (Endocrinology, Diabetes & Metabolism)
227 N JACKSON AVE
SAN JOSE, CA 95116
Dietitian, Registered
227 N JACKSON AVE
SAN JOSE, CA 95116
Pediatrics
227 N JACKSON AVE
SAN JOSE, CA 95116
Ophthalmology
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine (Hematology & Oncology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Non-Pharmacy Dispensing Site
227 N JACKSON AVE
SAN JOSE, CA 95116
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
227 N JACKSON AVE
SAN JOSE, CA 95116
Registered Nurse
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Orthopaedic Surgery
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Ophthalmology
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Family Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Ophthalmology
227 N JACKSON AVE
SAN JOSE, CA 95116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750596755, enumerated as an "individual" on May 11, 2007.

The provider is located at 227 N JACKSON AVE SAN JOSE, CA 95116 and the phone number is (408) 729-7115.

Technician/Technologist with taxonomy code 156F00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.